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Principal Care Management

Principal Care Management (PCM) Services

Why Choose Us Your Principal Care Management Services?

Specialized Chronic Care Support

Focused care for patients with a single chronic condition to improve health outcomes.

AI-Driven Efficiency

Advanced technology streamlines patient monitoring, medication management, and care coordination.

CMS-Compliant Billing

Ensuring accurate documentation to maximize reimbursements and reduce administrative burdens.

Proactive Patient Engagement

Regular follow-ups and personalized care plans to enhance treatment adherence and reduce hospitalizations.

What We Offer

End-to-end revenue cycle solutions customized for Principal Care Management providers—supporting accurate billing, care coordination, and regulatory compliance.

Insurance Eligibility Verification

Confirm patient eligibility and PCM coverage upfront to prevent billing delays and ensure reimbursement.

Denial Management & Appeals

Resolve PCM claim rejections efficiently and uncover root causes to prevent recurring issues.

Charge Entry & Coding Support

Accurately capture and code time-based, condition-specific care activities to meet CMS billing guidelines.

Patient Statements & Support

Deliver clear, patient-friendly statements to help them understand their financial responsibility and reduce confusion.

Claims Submission & Scrubbing

Ensure fast, clean claim submissions with thorough checks for PCM-specific requirements to reduce denials.

Monthly Performance Reporting

Track your PCM program’s financial performance and patient engagement through custom reports and analytics.

Payment Posting & Reconciliation

Maintain visibility into your revenue stream with timely posting and reconciliation of PCM-related payments.

Credentialing Support

Ensure your providers meet all regulatory and payer requirements to bill for PCM services compliantly.

Key Benefits

Take Your Medical Practice to Next Level

Reduce Administrative Burden

Free up your team to focus on patient care.

Stay Audit-ready and Compliant

We ensure documentation and billing meet standards.

Improve Cash Flow and Revenue

Faster reimbursements mean better financial health.

Focus More on Patient Care

Let us handle the back-end so you can do what you do best.

What Clients are saying…

Read the testimonials of our happy Clients

Clean Claims Rate

Increase in Revenue

Days in A/R